Sheehan's syndrome: Difference between revisions

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	Sheehan's syndrome;
	A pituitary gland anatomy - By Henry Vandyke Carter, Via: Wikimedia.org

VisualWikitext

Latest revision as of 00:09, 30 July 2020

For patient information, click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Iqra Qamar M.D.[2]

Synonyms and keywords: Postpartum pituitary gland necrosis, Postpartum hypopituitarism, Postpartum panhypopituitarism, Postpartum panhypopituitary syndrome.

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Sheehan's syndrome from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Treatment

Case Studies

Case #1

de:Sheehan-Syndrom it:Sindrome di Sheehan

Template:WikiDoc Sources

↑ Henry Gray (1918) Anatomy of the Human Body, Bartleby.com: Gray's Anatomy, Plate 721, Public Domain, <https://commons.wikimedia.org/w/index.php?curid=541543>

[1] Henry Gray (1918) Anatomy of the Human Body, Bartleby.com: Gray's Anatomy, Plate 721, Public Domain, <https://commons.wikimedia.org/w/index.php?curid=541543>

[1]

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+|-
+| {{#ev:youtube|_LGayYwSj50|450}}
+|-
+|}
+__NOTOC__
+{{Infobox_Disease
+ | Name           = Sheehan's syndrome
+ | Image          = Gray1180.png
+ | Caption        = A pituitary gland anatomy - By Henry Vandyke Carter, Via: Wikimedia.org <ref> Henry Gray (1918) Anatomy of the Human Body, Bartleby.com: Gray's Anatomy, Plate 721, Public Domain, <https://commons.wikimedia.org/w/index.php?curid=541543></ref>
+}}
 '''For patient information, click [[Sheehan's syndrome (patient information)|here]]'''
+{{Sheehan's syndrome}}
+{{CMG}}; {{AE}} {{IQ}}
+{{SK}} Postpartum pituitary gland necrosis, Postpartum hypopituitarism, Postpartum panhypopituitarism, Postpartum panhypopituitary syndrome.
+==[[Sheehan's syndrome overview|Overview]]==
+==[[Sheehan's syndrome historical perspective|Historical Perspective]]==
+==[[Sheehan's syndrome classification|Classification]]==
+==[[Sheehan's syndrome pathophysiology|Pathophysiology]]==
+==[[Sheehan's syndrome causes|Causes]]==
+==[[Sheehan's syndrome differential diagnosis|Differentiating Sheehan's syndrome  from other Diseases]]==
+==[[Sheehan's syndrome epidemiology and demographics|Epidemiology and Demographics]]==
-{{Infobox_Disease |
+==[[Sheehan's syndrome risk factors|Risk Factors]]==
-  Name           = Sheehan syndrome |
-  Image          = |
-  Caption        = |
-  DiseasesDB     = 11998 |
-  ICD10          = {{ICD10|E|23|0|e|20}} |
-  ICD9           = {{ICD9|253.2}} |
-  ICDO           = |
-  OMIM           = |
-  MedlinePlus    = 001175 |
-  eMedicineSubj  = |
-  eMedicineTopic = |
-  MeshID         = D007018 |
-}}
-{{Search infobox}}
-{{CMG}}
-==Overview==
+==[[Sheehan's syndrome screening|Screening]]==
-'''Sheehan syndrome''', also known as '''postpartum hypopituitarism''' or '''postpartum pituitary necrosis''', is [[hypopituitarism]] (decreased functioning of the [[pituitary gland]]), caused by [[necrosis]] due to [[hemorrhage|blood loss]] and [[hypovolemic shock]] during and after [[childbirth]].
-==Causes==
+==[[Sheehan's syndrome natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
-It is a rare complication of [[pregnancy]], usually occurring after excessive blood loss; the presence of [[disseminated intravascular coagulation]] (e. in [[amniotic fluid embolism]] or [[HELLP syndrome]]) also appears to be a factor in its development.
-==Pathophysiology==
+==Diagnosis==
-Hypertrophy and hyperplasia of [[lactotrophs]] during pregnancy results in the enlargement of the [[anterior pituitary]], without a corresponding increase in blood supply.
-Secondly, the anterior pituitary is supplied by a low pressure [[portal venous system]].
+[[Sheehan's syndrome history and symptoms|History and Symptoms]] | [[Sheehan's syndrome physical examination|Physical Examination]] | [[Sheehan's syndrome laboratory findings|Laboratory Findings]] | [[Sheehan's syndrome x ray|X Ray]] | [[Sheehan's syndrome CT|CT]] | [[Sheehan's syndrome MRI|MRI]] | [[Sheehan's syndrome echocardiography or ultrasound|Echocardiography or Ultrasound]] | [[Sheehan's syndrome other imaging findings|Other Imaging Findings]] | [[Sheehan's syndrome other diagnostic studies|Other Diagnostic Studies]]
-These vulnerabilities, when affected by major [[hemorrhage]] or hypotension during the peripartum period, can result in [[ischaemia]] of the affected pituitary regions leading to [[necrosis]].
+==Treatment==
-The [[posterior pituitary]] is usually not affected due to its direct arterial supply.
+[[Sheehan's syndrome medical therapy|Medical Therapy]] | [[Sheehan's syndrome surgery|Surgery]] | [[Sheehan's syndrome primary prevention|Primary Prevention]] | [[Sheehan's syndrome secondary prevention|Secondary Prevention]] | [[Sheehan's syndrome cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Sheehan's syndrome future or investigational therapies|Future or Investigational Therapies]]
-==Eponym==
+==Case Studies==
-It is named for Harold Sheehan.<ref>{{WhoNamedIt|synd|2009}}</ref><ref>H. L. Sheehan. Post-partum necrosis of anterior pituitary. The Journal of Pathology and Bacteriology, Chichester, 1937, 45: 189-214.</ref>
-==References==
+[[Sheehan's syndrome case study one|Case #1]]
-{{reflist|2}}
 {{Endocrine pathology}}
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 {{WikiDoc Sources}}
-[[Category:Disease]]
+[[Category:Medicine]]
+[[Category:Endocrinology]]
+[[Category:Up-To-Date]]
+[[Category:Emergency medicine]]
 [[Category:Obstetrics]]
-[[Category:Endocrinology]]

v t e Endocrine pathology: endocrine diseases (E00-35, 240-259)
Thyroid	Hypothyroidism (Iodine deficiency, Cretinism, Congenital hypothyroidism, Goitre, Myxedema) - Hyperthyroidism (Graves disease, Toxic multinodular goitre, Teratoma with thyroid tissue or Struma ovarii) - Thyroiditis (De Quervain's thyroiditis, Hashimoto's thyroiditis, Riedel's thyroiditis) - Euthyroid sick syndrome
Pancreas	Diabetes mellitus (type 1, type 2, coma, angiopathy, ketoacidosis, nephropathy, neuropathy, retinopathy) - Hypoglycemia - Hyperinsulinism - Zollinger-Ellison syndrome - insulin receptor (Rabson-Mendenhall syndrome)
Parathyroid	Hypoparathyroidism (Pseudohypoparathyroidism) - Hyperparathyroidism (Primary, Secondary, Tertiary)
Pituitary	Hyperpituitarism (Acromegaly, Hyperprolactinaemia, SIADH) - Hypopituitarism (Simmonds' disease / Sheehan's syndrome, Kallmann syndrome, Growth hormone deficiency, Diabetes insipidus) - Adiposogenital dystrophy - Empty sella syndrome - Hypophysitis
Adrenal	Cushing's syndrome (Nelson's syndrome, Pseudo-Cushing's syndrome) - CAH (Lipoid, 3β, 11β, 17α, 21α) - Hyperaldosteronism (Conn syndrome, Bartter syndrome) - Adrenal insufficiency (Addison's disease) - Hypoaldosteronism
Gonads	Ovarian dysfunction (Polycystic ovary syndrome, Premature ovarian failure) - Testicular dysfunction (5-alpha-reductase deficiency) - Testosterone biosynthesis (17-beta-hydroxysteroid dehydrogenase deficiency) - General (Hypogonadism, Delayed puberty, Precocious puberty)
Other	Androgen insensitivity syndrome - Autoimmune polyendocrine syndrome - Carcinoid syndrome - Gigantism - Short stature (Laron syndrome, Psychogenic dwarfism) - Multiple endocrine neoplasia (1, 2) - Progeria - Woodhouse-Sakati syndrome


Sheehan's syndrome
A pituitary gland anatomy - By Henry Vandyke Carter, Via: Wikimedia.org ^[1]

Sheehan's syndrome: Difference between revisions

Latest revision as of 00:09, 30 July 2020

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